Bixby Pediatrics PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

26393 Issued in OK

Legal business name

BIXBY PEDIATRICS PLLC

Practice address

11063D South Memorial Dr.
422
Tulsa, OK 74133

Phone

(918) 439-6461

NPI assigned

Jan 25, 2012

Last updated

Jan 25, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nidhi Koul, MD

Title

Doctor

Phone

(918) 439-6461

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1902177769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11063D SOUTH MEMORIAL DR.",
            "address_2": "422",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-439-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11063D SOUTH MEMORIAL DR.",
            "address_2": "422",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-439-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "KOUL",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "918-439-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "26393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney M Bisson, MD
• April Julia Bitely, CASE MANAGER I
• Erin Bitting
• Kehley Eve Bitzas, OTD
• Jasmine Bivar-Smith
• Mary Bixler, APRN FNP-C
• BJK LLC (Foot Solutions)
• BJK, LLC (Foot Solutions)
• Joan Bjornsgaard, LPC
• Suzanne Stella Bjornson, APRN

• Primary Care Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.